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General NPI Number Information
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NPI Number | 1265217111
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Entity Type | Organization
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Legal Business Name | RICHARD A. OPPENLANDER, DDS., PLC.
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 8191 MOORSBRIDGE RD STE C
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City | PORTAGE
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State | MI
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Zip | 49024-7891
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Country | US
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Telephone | 269-327-9332
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Fax | 269-327-0819
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Provider Business Mailing Address
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Address Line | 8191 MOORSBRIDGE RD STE C
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City | PORTAGE
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State | MI
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Zip | 49024-7891
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Country | US
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Telephone | 269-327-9332
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Fax | 269-327-0819
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | STEPHENIE LANE
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Credential |
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Telephone | 269-327-9332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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